Individual provider Active NPI

Kristen Naderer, OT/L

  • Occupational Therapist
  • Worthington, OH
National Provider Identifier
1780456764
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005039 Issued in OH
Practice address
965 High St
Worthington, OH 43085-4057
Phone
(513) 609-4497
Fax
(614) 784-0401
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005039 OH Primary

Addresses

Primary practice location

965 High St
Worthington, OH 43085-4057

Mailing address

965 High St
Worthington, OH 43085-4057
Phone (513) 609-4497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130001750 OH Practitioner - Occupational Therapist in Private Practice 4385092402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services Occupational Therapist CurrentSince Oct 15, 2025 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Oct 15, 2025 Accepting new patients
Columbus Physical Therapy, LLC PastSince Oct 29, 2023 Accepting new patients

Locations

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

2722 Erie Ave
Cincinnati, OH 45208

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1780456764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854057",
            "telephone_number": "513-609-4497",
            "fax_number": "614-784-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854057",
            "telephone_number": "513-609-4497",
            "fax_number": "614-784-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADERER",
        "first_name": "KRISTEN",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT005039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.